SCAN

SCAN is a mission-driven organization that is tackling some of the biggest issues in health care for older adults.

Quality Assurance Specialist

Full TimeRemoteTeam 1,001-5,000Since 1977Company SiteLinkedIn

Location

California

Posted

73 days ago

Salary

$45.3K - $72.5K / year

Bachelor Degree5 yrs expExperience acceptedEnglish

Job Description

• Ensures compliance with regulatory and company/departmental standards by monitoring staff and processes, and implementing corrective action, as required. • Improves service quality and efficiencies by developing and implementing standards, workflows and processes that are compliant with regulatory requirements and supports the delivery of service excellence. • Maintain regulatory compliance by remaining knowledgeable of regulations and contractual requirements related to customer service operations, developing and implementing processes and policies/procedures that meet or exceed requirements. • Ensure the SCAN commitment of service excellence to our customers by ensuring that staff consistently provide a level of service that meets or exceeds the customer’s expectation while being respectful, kind and knowledgeable about SCAN benefits and services. • Identify and remediate deficient practices/processes by monitoring processes and staff interactions with customers, providing feedback, identifying trends and overseeing and measuring corrective actions. • Provide management with feedback on staff performance and participate in coaching of the staff. • Improve service quality by measuring the quality, effectiveness and efficiency of the customer experience and provide recommendations for improvement to management. • Support the Member Services Trainer by providing feedback on training needs and assist in the development and presentation of training, as required. • Maintain awareness of membership and service issues by generating reports, analyzing data to identify trends, and making recommendations for improvement. • Contribute to team effort by accomplishing related results, as needed. • Actively support the achievement of SCAN’s Vision and Goals.

Job Requirements

  • Bachelor’s degree
  • A comparable combination of education/experience and/or training will be considered equivalent to the education listed above.
  • 5+ years’ preferably within healthcare industry.
  • Demonstrated efficiency/effectiveness in an environment with a high call volume; 1+ years of prior experience with Medicare benefits, including Medicare Advantage Plans preferred;
  • Experience in the healthcare, insurance or pharmacy industry highly desirable.
  • Excellent communication skills, both oral and written.
  • Strong interpersonal skills, including excellent verbal communication skills.

Benefits

  • An annual employee bonus program
  • Robust Wellness Program
  • Generous paid-time-off (PTO)- 11 paid holidays per year, 1 floating holiday, birthday off, and 2 volunteer days
  • Excellent 401(k) Retirement Saving Plan with employer match
  • Robust employee recognition program
  • Tuition reimbursement

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